Exam 1 SG Flashcards

1
Q

anterior compartment

A

tibialis anterior, extensor hallucis longus, extensor digitorum longus, peroneus tertius, deep peroneal nerve, anterior tibial artery and vein

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2
Q

lateral compartment

A

peroneus longus and brevis, superficial peroneal nerve, peroneal artery

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3
Q

superficial posterior compartment

A

triceps surae

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4
Q

deep posterior compartment

A

tibialis posterior, flexor digitorum longus, flexor hallucis longus, tibial nerve, posterior tibial artery/vein

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5
Q

ankle articulartions

A

distal tibiofibular syndesmosis joint

talocrural joint

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6
Q

rear foot articulations

A

subtalar (talocalcaneal) joint
inferior talus and superior calcaneous
posterior, anterior, and middle

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7
Q

mid foot articulations

A

talocalcaneonavicular (TCN) joint

calcaneocuboid (CC) joint

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8
Q

forefoot articulations

A

tarsometatarsal (TMT)
metatarsophalangeal (MTP)
DIP and PIP (4)

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9
Q

talocrural joint
ankle
action

A

plantarflexion

dorsiflexion

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10
Q

talartarsal joint
foot
action

A

inversion

eversion

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11
Q

PIP and DIP
toes
action

A

flexion 2-5

extension 2-5

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12
Q

dorsiflexion

A

20

firm/hard

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13
Q

plantarflexion

A

50

firm/hard

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14
Q

inversion

A

talocrural 5
forefoot 35
firm

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15
Q

eversion

A

talocrural 5
forefoot 15
hard/firm

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16
Q

anterior drawer
how to perform
positive sign
what pathology

A

lie in supine, knee joint slightly flexed, ankle joint 10 to 15 PF, grasp patients heel, stabilize leg and draw foot anteriorly
tibia pulls forward
ACL injury
anterior talofibular ligament

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17
Q

posterior drawer
how to perform
positive sign
what pathology

A

lie in supine, knee joint slightly flexed, ankle joint 10 to 15 PF, grasp patients heel, stabilize leg and draw foot posteriorly
tibia pulls backwards
posterior cruciate ligament

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18
Q

talar tilt (inversion/eversion)
how to perform
positive sign
what pathology

A

sitting with leg off, PF, grab calcaneous and perform inversion, anatomical position, then go into inversion and eversion, DF and eversion and inversion
pain, excessive gapping
calcaneiofibular and deltoid ligament

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19
Q

kleiger’s test
how to perform
positive sign
what pathology

A

foot DF and externally rotated
pain
syndesmosis injury

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20
Q

cotton test
how to perform
positive sign
what pathology

A

stabilize tibia and fibula, lateral translation to foot
translation of 3-5 mm, or clank heard or felt
syndesmosis injury

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21
Q

TMT/midtarsal glide
how to perform
positive sign
what pathology

A

supine or seated, grasp metatarsal and proximal tarsal bone, anterior and posterior glide,
laxity or decreased mobility
deep transverse metatarsal ligament or interosseous ligament

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22
Q

Valgus/varus
how to perform
positive sign
what pathology

A

valgus- stabilize, rotate toe out
varus- stabilize, rotate inward
pain or increase laxity
sprain MCL, LCL, avulsion fracture

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23
Q

thompson test
how to perform
positive sign
what pathology

A

lie face down, feet hand off edge, grab gastroc
no movement in foot
rupture of achilles tendon

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24
Q

tap/percussion test
how to perform
positive sign
what pathology

A

tap end of long bone
pain
bone fracture

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25
Q

long bone compression
how to perform
positive sign
what pathology

A

pressing on ends of bone
pain
long bone fracture

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26
Q

tinel’s sign
how to perform
positive sign
what pathology

A

tap posterior to medial malleolus
tingling or parathesia distally
peripheral nerve injury

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27
Q

homan’s sign
how to perform
positive sign
what pathology

A

extend knee, raise up to 10 degrees, passively and abruptly DF foot and squeezes calf
deep calf pain and tenderness
deep vein thrombosis

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28
Q

feiss line
how to perform
positive sign
what pathology

A

draw line between apex of medial malleolus, draw straight line to first MTP joint, find navicular tuberosity, have weight bearing find navicular tuberosity,
navicular tubercle below line
pes planus

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29
Q

navicular drop test
how to perform
positive sign
what pathology

A

mark navicular tubercle NWB and WB
if more than 1 cm different
pes plansu

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30
Q

interdigital neuroma test
how to perform
positive sign
what pathology

A

squeeze distal foot together
reproduction of patient’s symptoms
morton’s neuroma

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31
Q

ankle girth test
how to perform
positive sign
what pathology

A

figure 8 tape measure around ankle
increased measurement on one side
swelling and inflammation

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32
Q

syndesmosis sprain
MOI
signs/symptoms
evaluation techniques

A

extreme external rotation or DF of talus
pain, inflammation, lack of movement, Kleiger’s test
RICE, NWB, refer to physcian

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33
Q

compartment syndrom
MOI
signs/symptoms
evaluation techniques

A
acute- blunt force trauma
chronic- exertional
shiny, weak pulses, AROM decreased, no DF, PF painful, 
acute- emergency room
chronic- IB and stretching
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34
Q

hallux valgus
MOI
signs/symptoms
evaluation techniques

A

arthritic or metabolic conditions
medially deviation of first metatarsal
insoles, or surgery to fix

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35
Q

mortons neuroma
MOI
signs/symptoms
evaluation techniques

A

entrapment of common intermetatarsal nerve 3/4, 2/3
pain in traverse arch radiating into toes, PT between MT heads, interdigital neuroma test
refer to Dr. modification of foot wear, orthotics, surgery

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36
Q

plantar faciitis
MOI
signs/symptoms
evaluation techniques

A

forced DF of ankle w/ toe extension or insidious
pain at calcaneal tubercle radiates distally, worse with WB, PT
orthotics, heel cups/foam, stretching of calr,

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37
Q

stress fracture
MOI
signs/symptoms
evaluation techniques

A

chronic overuse
insidious, chronic pain, localized pain
PT at fx site, normal ROM,
refer to Dr., won’t show up for 4-6 weeks

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38
Q

os trigonum
MOI
signs/symptoms
evaluation techniques

A

traumatic, forced hyperPF,
pain deep to the achilles tendon with activity,
swelling over anteromedial and anterolateral to the achilles tendon, pain with palpation over posterior talus, A/P ROM pain w/ PF
PRICE, refer to Dr.

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39
Q

lisfranc injuries
MOI
signs/symptoms
evaluation techniques

A

foot is in a PF and recieves blow in th heel area axial loading the metatarsals
sever midfoot pain, or paratheisa,
swelling along midfoot, pain WB,
pain control, NWB, refer to Dr.

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40
Q

achilles tendinopathy
MOI
signs/symptoms
evaluation techniques

A

pain or buring along tendon
repetitive eccentric contraction of gastroc/soleus
PT, crepitus, limited ROM in PF/DF,
NSAIDS, rest, ice, heal lift or cup, immobilization, stretching

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41
Q

lateral bony structure palpation

A
fibular shaft
lateral malleouls
lateral border of calcaneous
peroneal tubercle
cuboid
base of 5th metatarsal
5th metatarsal
5th phalange
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42
Q

anterior (dorsal) bony structure palpation

A
anterior tibial shaft
talar dome
cuniforms
navicular
cuboid
phalanges
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43
Q

medial bony structure palpation

A
medial malleolus
medial border of calcaneous
sustentaculum tali
navicular and navicular tubercle
medial talar tubercle
first cunifrom
first metatarsal
first MTP joint
44
Q

posterior bony structure palpation

A

calcaneous

45
Q

plantar bony structure palpation

A

medial calcaneal tubercle
metatarsal heads
sesamoid bone of the great toe

46
Q

lateral soft tissue palpation

A
peroneus longus and brevis muscle and tendon
peroneous tertius
calcaneofibular ligament
anterior talofibular ligament
posterior talofibular ligament
47
Q

anterior soft tissue palpation

A
tibialis anterior
extensor hallucis longus tendon
extensor retinacula
sinis tarsi (extensor digitorum brevis)
inferior extensor retinaculum
48
Q

medial soft structure palpation

A
deltoid ligament
spring ligament
tibialis posterior tendon (navicular tubercle)
flexor hallucis longus tendon
flexor digitorum longus tendon
49
Q

posterior soft tissue palpation

A

gastrocnemius- soleus comples
achilles tendon
subcutaneous calcaneal bursa
subtendinous calcaneal bursa

50
Q

plantar soft tissue palpation

A

plantar fascia

51
Q

open pack position of ankle

A

plantarflexion

52
Q

closed pack position of ankle

A

dorsiflexion

53
Q
medial longitudinal arch
function of arch
static and dynamic stabilizers
what structures runs along
A

creates space for soft tissues with elastic properties,
calcaneus, talus, navicular, 1 cuniform, 1 metatarsal
plantar calcaneonavicular ligament, deltoid, plantar fascia

54
Q
lateral longitudinal arch
function of arch
static and dynamic stabilizers
what structures runs along
A

transmitting weight and makes more contact with the ground
calcaneous, cuboid, 5th metatarsal,
plantar fascia,

55
Q
transverse arch
function of arch
static and dynamic stabilizers
what structures runs along
A

muscular support
metatarsal heads extends to calcaneous,
1 and 5 metatarsal heads are WB

56
Q

windlass effect

A

medial longitudinal arch

heel to toe, aponeurosis, big toe DF, pulls heel and toe together locks foot

57
Q

gastrocnemius
insert
origin
action

A

I- calcaneus via calcaneal tendon
O- condyles of femur, posterior surfaces
A- F knee, PF ankle

58
Q

soleus
insert
origin
action

A

I- calcaneus via calcaneal tendon
O- soleal line, proximal, posterior surface of tibia and posterior aspect of the head of the fibula
A- PF ankle

59
Q

peroneal longus
insert
origin
action

A

I- bast of 5th metatarsal and medial cuniform
O- head of fibula and proximal 2/3 of lateral fibula
A- Ev foot

60
Q

peroneal brevis
insert
origin
action

A

I- tuberosity of 5th metatarsal
O- distal 2/3 of lateral fibula
A- Ev foot

61
Q

tibialis anterior
insert
origin
action

A

I- medial cuneiform and distal phalanges of second through 5th toes
O- lateral condyle of tibia; proximal, lateral surface of tibia and interosseous membrane
A- IV foot, DF ankle

62
Q

tibialis posterior
insert
origin
action

A

I- all 5 tarsal bones and bases of 2- 4th metatarsal
O- proximal, posterior shafts of tibia and fibula; and interosseous membrane
A- IV foot, PF ankle

63
Q

extensor digitorum longus
insert
origin
action

A

I- middle and distal phalanges of 2-5th toes
O- lateral condyle of tibia; proximal shaft of fibula and interosseous membrane
A- Extend 2-5th toes, DF ankle, EV foot

64
Q

extensor digitorum brevis
insert
origin
action

A

I- 2-4th toes via extensor digitorum longus tendons
O- dorsal surface of calcaneus
A- Extend 2-4th toes

65
Q

extensor hallicus longus
insert
origin
action

A

I- distal phalanx of 1st toe
O- middle, anterior surface of tibia and interosseous membrane
A- Extend 1st toe, DF ankle, IV foot

66
Q

extensor hallicus brevis
insert
origin
action

A

I- proximal phalanx of 1st toe
O- dorsal surface of calcaneus
A- Extend 1st toe

67
Q

flexor digitorum longus
insert
origin
action

A

I- distal phalanges of 2-5th toes
O- middle, posterior surface of tibia
A- F 2-5th toes, weak PF ankle, IV foot

68
Q

flexor digitorum brevis
insert
origin
action

A

I- middle phalanges of 2-5th toes
O- medial process of calcaneus and plantar aponeurosis
A- Flex middle phalanges of 2-5th toes]

69
Q

flexor hallicus longus
insert
origin
action

A

I- distal phalanx of 1st toe
O- middle of posterior fibula
A- F 1st toe, weak PF ankle, IV foot

70
Q

flexor hallicus brevis
insert
origin
action

A

I- medial and lateral surfaces of base of proximal phalanx of 1st toe
O- plantar surfaces of cuboid and lateral cuniform
A- Flex 1st toe

71
Q

abductor hallicus
insert
origin
action

A

I- proximal phalanx of 1st toe and medial sesamoid bone
O- medial process of calcaneus and plantar aponeurosis
A- AB 1st toe

72
Q

adductor hallicus
insert
origin
action

A

I- lateral surface of base of proximal phalanx of 1st toe
O- Oblique- bases of 2-5th metatarsals, Transverse- plantar ligament of 3-5th metatarsophalangeal joints
A- AD 1st toe, assist to maintain transverse arch, assist to F 1 toe

73
Q

hindfoot (rearfoot)

A

calcaneus

talus

74
Q

midfoot

A

navicular
cuniforms (3)
cuboid

75
Q

forefoot

A

metatarsals 4

phalanges 14

76
Q

what causes hammer toe

A

wearing short, narrow shoes that are too tight

77
Q

what causes morton’s toe

A

genetic

1st metatarsal is shorter than 2nd metatarsal

78
Q

what causes claw toe

A

nerve damage caused by diseases such as diabetes or alcoholism

79
Q

how does hammer toe, morton’s toe, and claw toe differ in clinical presentation

A

claw toe is caused by nerve damage, morton’s toe is genetic, and hammer toe is caused be to tight shoes

80
Q

what structure pass thorugh tarsal tunnel

A
tendons of posterior tibialis
flexor digitorum longus
flexor hallicus longus
posterior tibial artery and vein
posterior tibial nerve
81
Q

what parts of foot are weight bearing during gait cycle

A

1st and 5th metatarsals

calcaneous

82
Q

different observation/inspection specific to foot and ankle

A
WB, PWB, NWB
antalgic gait
ER while walking
swelling, ecchymosis, deformity
reddened or shiny skin, decreased DF, 
absent of doralis pedis pulse
muscular atrophy
new orthotics, changed shoes, shoe condition
83
Q

ottawa ankle rules

how rules were derived in EBP

A

patient is unable to walk 4 steps both immediately following injury and at the time or exam
ankle radiography ordered if pain in zone a or b
foot radiography ordered if pain in zone c or d

84
Q

supination

A

ankle PF, subtalar IV, forefoot AD

85
Q

pronation

A

ankle DF, subtar EV, forefoot AB

86
Q

types of abnormal gait

what pathology indicated

A
antalgic (painful)
arthrogenic (stiff hip or knee)
contracture gait
trendelenberg's
drop foot
87
Q

describe how an inter-professional team approach to patient care is beneficial to the patient and patient outcomes
give an example of inter-professional practice

A

help prevent errors, improves patient experience, and delivers better patient outcomes
and can reduce healthcare costs
a doctor, nurse, pharamcist, and physical therapist work together to help a patient get better

88
Q

ankle ligaments

A
lateral- anterior talofibular ligament
calcaneofibular ligament
posterior talofibular ligament
medial
deltoid ligaments
89
Q

Tom, Dick, and Nervous Harry

A
tibialis posterior
flexor digitorum longus
tibial artery
tibial nerve
flexor hallius longus
90
Q

pulses

A

posterior tibial artery

dorsalis pedis artery

91
Q

function of foot

A

acts as a base of support necessary for maintaining upright posture
provides flexibility to adapt to uneven terrain
aids in shock absorption
acts as a lever during push off

92
Q

pes cavus

A

high arch

93
Q

pes planus

A

flat foot

94
Q

main phases of gait

A

stance phase

swing phase

95
Q

stance phase

sub phases

A

heel strike/ initial contant- rigid and supinated
foot flat/ load response
midstance/single leg stance- flexible and pronated
terminal stance/ heel off
toe off/ preswing

96
Q

swing stance

sub phases

A

pressing
initial swing
midswing
terminal swing

97
Q

initial contact

A

anterior tibialis eccentric contraction

98
Q

mid stance

A

gastroc eccentric contraction

99
Q

terminal stance

A

gastroc concentric contraction

100
Q

preswing

A

gastoc concentric contraction

101
Q

antalgic (painful)

A

injury to pelvis, hip, knee, ankle or foot

effected leg stance phase is short than other leg

102
Q

arthrogenic (stiff knee or hip)

A

stiffness, laxity, or deformity
can be painful
lift entire leg higher than normal to clear the ground

103
Q

contracture gait

A

if the person was in a cast or brace for a long time,

104
Q

trendelenbergs

A

contralateral side droops

105
Q

drop foot gait

A

weak or paralyzed DFs results in drop foot, to compensate the knee is lifted higher than normal, foot will slap ground

106
Q

syndesmosis structures

A

anterior inferior tibiofibular ligament
posterior inferior tibiofibular ligament
interosseous ligament
interosseous membrane